Avelis Health - Booth #2
Information
Avelis is an AI-powered payment integrity platform that converts Summary Plan Documents (SPDs) and provider contracts into deterministic audit rules that run against medical claims data. These rules identify billing errors, contract violations, and improper payments in both pre-pay and post-pay claim reviews. When recoveries are identified, Avelis has an AI call center to handle the recovery workflow: contacting providers, resolving disputes, and recovering overpayments on behalf of health plans and TPAs.